Active NPI
Marc Etienne
- Assistant Behavior Analyst
- Fort Myers, FL
National Provider Identifier
1033958939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-26-2826940
- Practice address
- 2129 Katherine St
Fort Myers, FL 33901-6122 - Phone
- (239) 410-2090
- NPI assigned
- May 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-26-2826940 | FL | Primary |
Addresses
Primary practice location
2129 Katherine St
Fort Myers, FL 33901-6122
Mailing address
2129 Katherine St
Fort Myers, FL 33901-6122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-346072 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linkedaba LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Fort Myers, FL
- NPI 1972463909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785542400000",
"number": "1033958939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 KATHERINE ST",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339016122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 KATHERINE ST",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339016122",
"telephone_number": "239-410-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETIENNE",
"first_name": "MARC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-21",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-26-2826940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.